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- W2328344243 abstract "Conventional esophagectomy gives the postoperative patients a restrictive respiratory condition. We recognized that the postoperative vital capacity in patients who had undergone a conventional esophagectomy by thoracotomy fell to 75% of their preoperative level and was fixed at that level for more than 4 years. On the other hand, postoperative vital capacity in patients with thoracoscopic esophagectomy returned to their preoperative level within two months after surgery. The thoracoscopic-esophagectomy group reported less pain than the conventional operation group did, even though both groups were under continuous epidural anesthesia during the first postoperative week.The patients' survival curve in the group undergoing thoracoscopic esophagectomy turned out to be identical to that in the group undergoing conventional surgery. Although this study was not conducted under controlled condition, there was no apparent discrepancy between these two groups.Thoracoscopic esophagectomy alone has not achieved the goal of being a “minimally invasive surgery, ” because a patient's vital capacity and FEV1 still decline in the early postoperative phase. Encouraged by the results of laparoscopic cholecystectomy, we have introduced a laparoscopic procedure to our routine thoracoscopic procedure to further improve patients' postoperative pulmonary function." @default.
- W2328344243 created "2016-06-24" @default.
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- W2328344243 date "1999-01-01" @default.
- W2328344243 modified "2023-09-27" @default.
- W2328344243 title "Technique and Advantages of the Thoracoscopic Esophagectomy." @default.
- W2328344243 cites W2024852830 @default.
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- W2328344243 doi "https://doi.org/10.2468/jbes.50.308" @default.
- W2328344243 hasPublicationYear "1999" @default.
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